Provider Demographics
NPI:1124433164
Name:PAMPER OUR PARENTS, INC.
Entity type:Organization
Organization Name:PAMPER OUR PARENTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEONARD
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:516-513-0396
Mailing Address - Street 1:21 CANDLE LN
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-2501
Mailing Address - Country:US
Mailing Address - Phone:516-513-0396
Mailing Address - Fax:516-513-0396
Practice Address - Street 1:21 CANDLE LN
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-2501
Practice Address - Country:US
Practice Address - Phone:516-513-0396
Practice Address - Fax:516-513-0396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-28
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY342711250708E251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health